The World Congress Summit on Bundled Payments

Mobile devices are growing in popularity in all areas of health care, whether used for checking reviews of health care facilities and providers, researching health conditions, tracking medication use, or communicating between the provider and the patient. With this widespread use of mobile technologies for health care, it is not surprising to see organizations testing out their effectiveness on improving access and quality of care as well as reducing readmissions.

• Discover how organizations are using mobile technologies to monitor patients at risk for readmission
• Uncover which technologies are best for patients given their health state and demographic
• Determine the ROI of incorporating technology
• Communicate the benefits of utilizing these technologies to decision makers within the organization
• Implement use of mobile technologies within the care plan
• Explore strategies for piloting new technologies before full implementation
• Discuss ways to avoid workflow disruption when adding new technology

After the success of initial programs, organizations often find themselves ready to expand, realizing their initial plan may have been created with too narrow a focus. Therefore, organizations planning to implement Telehealth and remote patient monitoring programs should consider the scalability of the program to prepare for expansion - in addition to creation and implementation - and those that have already incorporated these technologies should consider what modifications the programmight require to expand.

• Design an implementation plan that increases efficiency and limits disruption during the transition
• Ensure scalability of Telehealth and remote patient monitoring programs during planning
• Prepare for future expansion to additional specialties
• Understand the implications of expansion to additional facilities
• Adjust existing Telehealth and remote monitoring processes to prepare for expansion to additional facilities and/or specialties
• Identify areas within existing programs that might delay expansion
• Understand the importance of consistency across specialties and facilities in relation to Telehealth and remote monitoring program processes

Health care organizations have a surplus of information about their consumers, especially since the implementation of the electronic medical record. Access to this data allows health care facilities to identify inefficiencies and issues in care, identify high risk patients, and improve care plans moving forward.

• Sift through excess data and determine what data is necessary to make improvements
• Understand the importance of integrating claims data with EMR data into one system to create usable data
• Examine what value can be gained from different types of data sets, including quality data, retention data, etc.
• Utilize data to identify gaps in care and quality gaps
• Adjust care plans to address these gaps
• Analyze data to determine high-risk and rising-risk patients
• Discuss disease management plans for high-risk patients
• Prevent rising-risk patients from reaching high-risk status
• Implement data and analytics into decision making without disrupting workflow and processes
• Share best practices to get data to providers on the frontline

As interest in bundled payments continues to grow, it is becoming increasingly important that health systems have strategies in place to ensure they are ready to manage these complex programs. But making this transition from fee-for-service to value-based reimbursements is challenging. On top of the systematic adjustments, it requires a vast cultural shift in how providers take ownership of the whole episode of care and how providers, hospitals, health systems, and payers interact. In this workshop, lay the foundation for what your organization needs to consider when building a bundled payment program.

• Examine system readiness to manage the data analytics required to support bundling
• Determine what is in and what is out of the bundle
• Understand system capabilities needed for managing bundled payments within a health system
• Overcome challenges in coding
• Access resources for managing data analytics
• Review the continuum of care to understand the areas of high cost
• Assess what episodes of care are best suited for bundling within your system
• Define an episode of care and establish key metrics for evaluation
• Determine how these metrics will be defined and captured
• Evaluate the cultural shift to prepare providers and administrators for this transition from fee-for-service to value-based reimbursement
• Discuss how to implement bundled-payments alongside continuing fee-for-service programs
• Reshape how providers think about ownership, and best practices in how physicians and health systems interact as a necessary measure to ensure bundled success
• Build the best team to structure program success
  • Engage the right people within the organization to build a successful program
  • Collaborate with outside stakeholders to improve coordination
  • Decide which team within the organization should own the program
  • Work with providers to build effective protocols and increase provider buy-in